black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JAMILLA FORNEY

PRODUCER NON-RESIDENT

License Number:
PRN421693
Status:
First Licensure:
06/22/2022
Cancel Date:
None

Mailing:
BIRMINGHAM, AL 35217
Phone:
+1 (352) 384-5723
Fax:
+1 (866) 269-8146
Email:
nsslicgl@nationwide.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/22/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
NATIONWIDE SALES SOLUTIONS, INC
06/24/2022 AGN126911

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
05/11/2023 PCF155357 05/15/2025
ALLIED INSURANCE COMPANY OF AMERICA
06/22/2022 PCF216138
AMERICAN BANKERS INSURANCE COMPANY OF FLORIDA
08/12/2024 PCF357
NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA
06/22/2022 PCF34188
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
06/22/2022 PCF151937
NATIONWIDE ASSURANCE COMPANY
06/22/2022 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
06/22/2022 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
06/22/2022 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
06/22/2022 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
06/22/2022 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
06/22/2022 PCF151089
PROGRESSIVE NORTHERN INSURANCE COMPANY
03/05/2024 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
03/05/2024 PCF27738
VICTORIA FIRE & CASUALTY COMPANY
06/22/2022 PCF334434

Authority

Description Issue Date Termination Date Status
CASUALTY 06/22/2022 Active
PROPERTY 06/22/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19001421

Other Addresses

Address Type
1 NATIONWIDE PLZ
COLUMBUS, OH 43215-2226
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/16/2025 07:46:37 AM